How much rates vary
Facilitymedian $389 · 10th to 90th $191 to $1,445Professionalmedian $316 · 10th to 90th $191 to $631
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $190.55 Typical High $223.87 | Professional | None | $186.21 | $190.55 | $223.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $1,949.84 | Facility | None | $588.84 | $1,096.48 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $234.42 Median $309.03 Typical High $524.81 | Professional | None | $234.42 | $309.03 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $426.58 Typical High $812.83 | Facility | None | $275.42 | $426.58 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $389.05 Typical High $676.08 | Professional | None | $245.47 | $389.05 | $676.08 |
Health Partners Setting Facility Modifier None Typical Low $245.47 Median $389.05 Typical High $676.08 | Facility | None | $245.47 | $389.05 | $676.08 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $616.60 | Professional | None | $275.42 | $371.54 | $616.60 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $331.13 Typical High $1,445.44 | Facility | None | $125.89 | $331.13 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $407.38 Typical High $1,698.24 | Professional | None | $186.21 | $407.38 | $1,698.24 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $173.78 Median $323.59 Typical High $616.60 | Professional | None | $173.78 | $323.59 | $616.60 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 54 · Surgery only | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 55 · Aftercare only | $28.18 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | 56 · Pre-op care only | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $112.20 | Professional | 52 · Reduced service | $93.33 | $93.33 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $37.15 | $38.02 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | 54 · Surgery only | $141.25 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $19.05 Typical High $22.39 | Professional | 56 · Pre-op care only | $18.62 | $19.05 | $22.39 |
Where Minnesota sits
The same service costs 4.6 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 7th of 51
$331
AK $603UT $132
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.